Provider Demographics
NPI:1750338208
Name:BJORK, LINDSAY ERIN (PT CSCS)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ERIN
Last Name:BJORK
Suffix:
Gender:F
Credentials:PT CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 BROMLEY COURT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502
Mailing Address - Country:US
Mailing Address - Phone:630-692-2532
Mailing Address - Fax:
Practice Address - Street 1:800 S DES PLAINES
Practice Address - Street 2:ORTHOSPORT
Practice Address - City:FOREST PARK
Practice Address - State:IL
Practice Address - Zip Code:60130
Practice Address - Country:US
Practice Address - Phone:708-366-2442
Practice Address - Fax:708-366-0179
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK04705Medicare ID - Type Unspecified
ILL85743Medicare ID - Type Unspecified
ILL85744Medicare ID - Type Unspecified